Healthcare Provider Details

I. General information

NPI: 1528164068
Provider Name (Legal Business Name): HARVEY AMBULANCE SERVICE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2006
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

708 ALDER AVE
HARVEY ND
58341-1111
US

IV. Provider business mailing address

PO BOX 974
MANDAN ND
58554-0974
US

V. Phone/Fax

Practice location:
  • Phone: 701-324-4616
  • Fax: 701-324-4616
Mailing address:
  • Phone: 701-250-6361
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number052
License Number StateND

VIII. Authorized Official

Name: TAMMIE SUSAG
Title or Position: TREASURER
Credential:
Phone: 701-324-4616